{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:25:16Z","timestamp":1760984716818},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2012,10,9]],"date-time":"2012-10-09T00:00:00Z","timestamp":1349740800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2013,9]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To compare the responsiveness of different anthropometric indicators for measuring nutritional stress among children in developing countries.<\/jats:p><\/jats:sec>Design<\/jats:title>Growth was studied within 6-month intervals in a rural Senegalese community during one dry and two rainy (hungry) seasons. Responsiveness was defined as the change divided by the standard deviation of each anthropometric indicator. Contrast was defined as the difference in responsiveness between dry and rainy seasons.<\/jats:p><\/jats:sec>Setting<\/jats:title>The study was conducted in Niakhar, a rural area of Senegal under demographic surveillance, with contrasted food and morbidity situations between rainy and dry seasons.<\/jats:p><\/jats:sec>Subjects<\/jats:title>Some 5000 children under 5 years of age were monitored at 6-month intervals in 1983\u20131984. The present analysis was carried out on a sub-sample of children aged 6\u201323 months with complete measures, totalling 2803 children-intervals.<\/jats:p><\/jats:sec>Results<\/jats:title>In both univariate and multivariate analysis, mid-upper arm circumference was found to be more responsive to nutritional stress than the commonly used weight-for-height Z<\/jats:italic>-score (contrast = \u22120\u00b764 for mid-upper arm circumference v<\/jats:italic>. \u22120\u00b753 for weight-for-height Z<\/jats:italic>-score). Other discriminant indicators were: muscle circumference, weight-for-height, BMI and triceps skinfold. Height, head circumference and subscapular skinfold had no discriminating power for measuring the net effect of nutritional stress during the rainy season.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The use of mid-upper arm circumference for assessing nutritional stress in community surveys should be considered and preferred to other nutritional indicators. Strict standardization procedures for measuring mid-upper arm circumference are required for optimal use.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s136898001200448x","type":"journal-article","created":{"date-parts":[[2012,10,9]],"date-time":"2012-10-09T08:44:52Z","timestamp":1349772292000},"page":"1533-1539","source":"Crossref","is-referenced-by-count":15,"title":["Adequacy of child anthropometric indicators for measuring nutritional stress at population level: a study from Niakhar, Senegal"],"prefix":"10.1017","volume":"16","author":[{"given":"Michel","family":"Garenne","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard","family":"Maire","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Fontaine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9","family":"Briend","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,10,9]]},"reference":[{"volume-title":"Energy and Protein Requirements. WHO Technical Report Series","year":"1985","key":"S136898001200448X_ref12"},{"volume-title":"Integrated Food Security Phase Classification \u2013 Technical Manual","year":"2008","key":"S136898001200448X_ref4"},{"volume-title":"Manual on the Management of Nutrition in Major Emergencies","year":"2000","key":"S136898001200448X_ref3"},{"volume-title":"WHO Child Growth Standards and the Identification of Severe Acute Malnutrition in Infants and Children","year":"2009","key":"S136898001200448X_ref2"},{"key":"S136898001200448X_ref14","unstructured":"Garenne M & Cantrelle P (1989) Prospective studies of communities: their unique potential for studying the health transition. Reflections from the ORSTOM experience in Senegal. In The Health Transition: Methods and Measures (Proceedings of an International Workshop, London, 7\u20139 June 1989), pp. 251\u2013258 [J Cleland and A Hill, editors]. Canberra: Australian National University."},{"volume-title":"Technical Guidelines for Integrated Disease Surveillance and Response in the African Region","year":"2010","key":"S136898001200448X_ref9"},{"key":"S136898001200448X_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980009004972"},{"volume-title":"Anthropometric Indicators Measurement Guide","year":"2003","author":"Cogill","key":"S136898001200448X_ref6"},{"key":"S136898001200448X_ref13","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/120.suppl_11.1519"},{"key":"S136898001200448X_ref10","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.nutr.26.061505.111258"},{"key":"S136898001200448X_ref7","doi-asserted-by":"publisher","DOI":"10.1080\/03014460802471205"},{"key":"S136898001200448X_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/129.1.227S"},{"key":"S136898001200448X_ref20","first-page":"38","article-title":"Reliability of anthropometric measurements in the WHO Multicentre Growth Reference Study","volume":"450","year":"2006","journal-title":"Acta Paediatr Suppl"},{"key":"S136898001200448X_ref8","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph7031047"},{"key":"S136898001200448X_ref17","first-page":"1","article-title":"2000 CDC Growth Charts for the United States: methods and development","volume":"11","author":"Kuczmarski","year":"2002","journal-title":"Vital Health Stat"},{"volume-title":"Risques de d\u00e9c\u00e8s associ\u00e9s \u00e0 diff\u00e9rents \u00e9tats nutritionnels chez l'enfant d\u2019\u00e2ge pr\u00e9scolaire. Etudes du CEPED","year":"2000","author":"Garenne","key":"S136898001200448X_ref15"},{"key":"S136898001200448X_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-8644(1998)107:27+<177::AID-AJPA7>3.0.CO;2-B"},{"key":"S136898001200448X_ref19","first-page":"769","article-title":"Measuring change in nutritional status: a comparison of different anthropometric indices and the sample sizes required","volume":"43","author":"Briend","year":"1989","journal-title":"Eur J Clin Nutr"},{"key":"S136898001200448X_ref5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39101.664109.AE"},{"key":"S136898001200448X_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/15648265060273S302"},{"key":"S136898001200448X_ref22","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2891-10-92"},{"key":"S136898001200448X_ref21","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/29.3.159"}],"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S136898001200448X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T16:27:51Z","timestamp":1556036871000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S136898001200448X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,9]]},"references-count":22,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["S136898001200448X"],"URL":"https:\/\/doi.org\/10.1017\/s136898001200448x","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"type":"print","value":"1368-9800"},{"type":"electronic","value":"1475-2727"}],"subject":[],"published":{"date-parts":[[2012,10,9]]}}}